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tions. The increase in the pressure of the cerebro-
spinal fluid during faradic stimulation runs parallel
with the arterial and venous pressure. This increase
lasts frequently longer than that of the arterial and
venous pressure. The author concludes from these
results that the rush of blood to the brain during the
epileptic attack produces an increased secretion of
cerebral lymph. When the epileptiform spasms were
produced by injection of essence of absinthe, it was
observed that the curve of increase of the cerebro-
spinal pressure frequently showed an upward tendency
immediately after the injection, while the arterial
blood pressure fell. Whenever the increase in the
cerebral pressure reached a certain height, the epilep-
tic attack would set in. while the cerebro-spinal pres-
sure would rise still higher. Otherwise, the red sands slot review results
were the same as when stimulation was made with
the faradic current.
Prevention of Mastoid Disease. — Dr. Burnett
maintains that acute mastoiditis is an entirely unnec-
essary result of acute otitis media, and never occurs
except as a consequence of improper treatment of
the primary acute inflammation of the middle ear and
the nasopharynx, usually inflamed at the same time.
The treatment of an acute otitis, he claims, should be
largely negative, especially after discharge sets in. as
the result of either paracentesis or spontaneous rup-
ture of the membrana tympani. This view is based
on the fact that the acute otitis media is due to the
presence of a pathogenic germ, generally the strepto-
coccus, in the middle ear, whither it has gone from the
nasopharynx. Inflation of the nasopharynx under
such conditions tends not only to drive more such
germs into the middle ear, but the germs already
there into the mastoid cavity. Inflation of the naso-
pharynx also tends to force pathogenic germs into the
i6
MEDICAL RECORD.
[January 2, 189*
1 red sands slot machine ar, if there be such, and set up inflamma-
tion free red sands slot there. To relieve earache in acute otitis m
a few drops, warmed, of a solution of carbolic acid (i
m 1 bi pplied to the (anal and menibrana
tympani, if it can he borne. Dry heat over and about
tiie auricle, however, is often sufficient to give relief,
and it never irritates. Leeching, counter-irritation,
and all forms of anodyne drops are not only u
but further irritate, cause artificial inflammation in
the canal ami membrana, and mask the true ■,.
affairs. If pain in the ear continues and spontaneous
rupture of the drum membrane does not occur in from
six in twelve hours, paracentesis of the membrana
tympani should be performed. This play red sands slots free should lie pre-
ceded by the instillation of a few drops of an antisep- red sands slots
ilution into the auditory canal. Immediately
after paracentesis or spontaneous rupture of the mem-
brana, nothing should be syringed, mopped, swabbed.
or blown into the ear. The auditory meatus should
be stopped with antiseptic gauze — preferably iodoform
or carbolic-acid gauze — and let alone for tweni red sands slot game
hours. The discharge which now sets in is beneficent
and should lie favored by the drainage obtained with
the gauze, as just stated. If any other procedure is
adopted, staphylococci, ever present on the skin of all
of us, are likely to get into the auditory canal, upon
the membrana, through the perforations, and into the
middle ear and mastoid cavities. Secondary infec-
tion is thus set up, chronicity is established, and the
physician in charge of the case is confronted with the
direful sequela- named above. The occurrence of
acute mastoiditis as a sequel of acute otitis media has
been especially frequent since the introduction of hy-
drogen binoxide into aural surgery. This can be ex-
plained by the expansive action of the drug named,
which forces pus from the middle ear into the mastoid
cavities. — Tlie American Journal of tin- Medical Sci-
Tuberculous Cervical Glands and Carious Teeth.
— red sands free slot machine Dr. Starck was able to demonstrate, in forty-one per
cent, of his cases of tuberculous cervical glands, the
existence of carious teeth. The glandular disea e cot
responded in location, in time of development, and in
intensity with the condition of the teeth. Caries of the
teeth of one or the other side of tiie jaw was associated
with enlargement of the glands of the same side, and
• of the front teeth existed in conjunction with en-
largi ment of the anterior glands, while caries of the
molars was combined with enlargement of the gland-.
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